CARDIAC NCLEX FINAL EXAM PREP WITH
MULTIPLE CHOICES2025/2026 ACCURATE
QUESTIONS WITH CORRECT DETAILED
ANSWERS || 100% SURE PASS [LATEST UPDATE]
1. A key concern associated with digitalis therapy is digitalis toxicity. Symptoms
include anorexia, nausea, visual disturbances, confusion, and bradycardia. The
other listed signs and symptoms are not characteristic of digitalis toxicity.
The ED nurse is caring for a patient with a suspected MI. What drug should the
nurse anticipate administering to this patient?
A. Warfarin
B. Oxycodone
C. Morphine
D. Acetaminophen - ANSWER C. Morphine
The patient with suspected MI is given aspirin, nitroglycerin, morphine, an IV
beta- blocker, and other medications, as indicated, while the diagnosis is being
confirmed. Tylenol, warfarin, and oxycodone are not typically used.
2. A patient is admitted to the critical care unit (CCU) with a diagnosis of
cardiomyopathy. When reviewing the patient's most recent laboratory results, the
nurse should prioritize assessment of which of the following?
A. Sodium
B. AST, ALT, and bilirubin
,C. BUN
D. White blood cell differential - ANSWER A. Sodium
Sodium is the major electrolyte involved with cardiomyopathy. Cardiomyopathy
often leads to heart failure which develops, in part, from fluid overload. Fluid
overload is often associated with elevated sodium levels. Consequently, sodium
levels are followed more closely than other important laboratory values, including
BUN, leukocytes, and liver function tests.
3. The nurse is caring for a patient admitted with unstable angina. The laboratory
result for the initial troponin I is elevated in this patient. The nurse should
recognize what implication of this assessment finding?
A. This result indicates muscle injury, but does not specify the source.
B. This is an accurate indicator of myocardial injury.
C. This is only an accurate indicator of myocardial damage when it reaches its
peak in 24 hours.
D. Because the patient has a history of unstable angina, this is a poor indicator of
myocardial injury. - ANSWER B. This is an accurate indicator of myocardial
injury.
Troponin I, which is specific to cardiac muscle, is elevated within hours after
myocardial injury. Even with a diagnosis of unstable angina, this is an accurate
indicator of myocardial injury.
4. The nurse is providing discharge education to a patient diagnosed with HF.
What should the nurse teach this patient to do to assess her fluid balance in the
home setting?
A. Monitor her weight daily
,B. Monitor her bowel movements
C. Monitor her blood pressure daily
D. Assess her radial pulses daily - ANSWER A. Monitor her weight daily
To assess fluid balance at home, the patient should monitor daily weights at the
same time every day. Assessing radial pulses and monitoring the blood pressure
may be done, but these measurements do not provide information about fluid
balance. Bowel function is not indicative of fluid balance
5. When discussing angina pectoris secondary to atherosclerotic disease with a
patient, the patient asks why he tends to experience chest pain when he exerts
himself. The nurse should describe which of the following phenomena?
A. Exercise increases the metabolism of cardiac medications.
B. Exercise causes vasoconstriction of the coronary arteries.
C. Exercise shunts blood flow from the heart to the mesenteric area.
D. Exercise increases the heart's oxygen demands. - ANSWER D. Exercise
increases the heart's oxygen demands.
Physical exertion increases the myocardial oxygen demand. If the patient has
arteriosclerosis of the coronary arteries, then blood supply is diminished to the
myocardium. Exercise does not cause vasoconstriction or interfere with drug
metabolism. Exercise does not shunt blood flow away from the heart.
6. A resident of a long-term care facility has complained to the nurse of chest pain.
What aspect of the resident's pain would be most suggestive of angina as the
cause?
A. The pain is most severe when the resident moves his upper body.
, B. The pain is worse when the resident coughs.
C. The pain is worse when the resident inhales deeply.
D. The pain occurs immediately following physical exertion. - ANSWER D. The
pain occurs immediately following physical exertion.
Chest pain associated with angina is often precipitated by physical exertion. The
other listed aspects of chest pain are more closely associated with noncardiac
etiologies.
7. A patient who has undergone valve replacement surgery is being prepared for
discharge home. Because the patient will be discharged with a prescription for
warfarin (Coumadin), the nurse should educate the patient about which of the
following?
A. The need to learn to sleep in a semi-Fowler's position for the first 6 to 8 weeks
to prevent emboli
B. The need for regularly scheduled testing of the patient's International
Normalized Ratio (INR)
C. The need to take enteric-coated ASA on a daily basis
D. The need to avoid foods that contain vitamin K - ANSWER B. The need for
regularly scheduled testing of the patient's International Normalized Ratio (INR)
Patients who take warfarin (Coumadin) after valve replacement have
individualized target INRs; usually between 2 and 3.5 for mitral valve replacement
and 1.8 and 2.2 for aortic valve replacement. Natural sources of vitamin K do not
normally need to be avoided and ASA is not indicated. Sleeping upright is
unnecessary.
MULTIPLE CHOICES2025/2026 ACCURATE
QUESTIONS WITH CORRECT DETAILED
ANSWERS || 100% SURE PASS [LATEST UPDATE]
1. A key concern associated with digitalis therapy is digitalis toxicity. Symptoms
include anorexia, nausea, visual disturbances, confusion, and bradycardia. The
other listed signs and symptoms are not characteristic of digitalis toxicity.
The ED nurse is caring for a patient with a suspected MI. What drug should the
nurse anticipate administering to this patient?
A. Warfarin
B. Oxycodone
C. Morphine
D. Acetaminophen - ANSWER C. Morphine
The patient with suspected MI is given aspirin, nitroglycerin, morphine, an IV
beta- blocker, and other medications, as indicated, while the diagnosis is being
confirmed. Tylenol, warfarin, and oxycodone are not typically used.
2. A patient is admitted to the critical care unit (CCU) with a diagnosis of
cardiomyopathy. When reviewing the patient's most recent laboratory results, the
nurse should prioritize assessment of which of the following?
A. Sodium
B. AST, ALT, and bilirubin
,C. BUN
D. White blood cell differential - ANSWER A. Sodium
Sodium is the major electrolyte involved with cardiomyopathy. Cardiomyopathy
often leads to heart failure which develops, in part, from fluid overload. Fluid
overload is often associated with elevated sodium levels. Consequently, sodium
levels are followed more closely than other important laboratory values, including
BUN, leukocytes, and liver function tests.
3. The nurse is caring for a patient admitted with unstable angina. The laboratory
result for the initial troponin I is elevated in this patient. The nurse should
recognize what implication of this assessment finding?
A. This result indicates muscle injury, but does not specify the source.
B. This is an accurate indicator of myocardial injury.
C. This is only an accurate indicator of myocardial damage when it reaches its
peak in 24 hours.
D. Because the patient has a history of unstable angina, this is a poor indicator of
myocardial injury. - ANSWER B. This is an accurate indicator of myocardial
injury.
Troponin I, which is specific to cardiac muscle, is elevated within hours after
myocardial injury. Even with a diagnosis of unstable angina, this is an accurate
indicator of myocardial injury.
4. The nurse is providing discharge education to a patient diagnosed with HF.
What should the nurse teach this patient to do to assess her fluid balance in the
home setting?
A. Monitor her weight daily
,B. Monitor her bowel movements
C. Monitor her blood pressure daily
D. Assess her radial pulses daily - ANSWER A. Monitor her weight daily
To assess fluid balance at home, the patient should monitor daily weights at the
same time every day. Assessing radial pulses and monitoring the blood pressure
may be done, but these measurements do not provide information about fluid
balance. Bowel function is not indicative of fluid balance
5. When discussing angina pectoris secondary to atherosclerotic disease with a
patient, the patient asks why he tends to experience chest pain when he exerts
himself. The nurse should describe which of the following phenomena?
A. Exercise increases the metabolism of cardiac medications.
B. Exercise causes vasoconstriction of the coronary arteries.
C. Exercise shunts blood flow from the heart to the mesenteric area.
D. Exercise increases the heart's oxygen demands. - ANSWER D. Exercise
increases the heart's oxygen demands.
Physical exertion increases the myocardial oxygen demand. If the patient has
arteriosclerosis of the coronary arteries, then blood supply is diminished to the
myocardium. Exercise does not cause vasoconstriction or interfere with drug
metabolism. Exercise does not shunt blood flow away from the heart.
6. A resident of a long-term care facility has complained to the nurse of chest pain.
What aspect of the resident's pain would be most suggestive of angina as the
cause?
A. The pain is most severe when the resident moves his upper body.
, B. The pain is worse when the resident coughs.
C. The pain is worse when the resident inhales deeply.
D. The pain occurs immediately following physical exertion. - ANSWER D. The
pain occurs immediately following physical exertion.
Chest pain associated with angina is often precipitated by physical exertion. The
other listed aspects of chest pain are more closely associated with noncardiac
etiologies.
7. A patient who has undergone valve replacement surgery is being prepared for
discharge home. Because the patient will be discharged with a prescription for
warfarin (Coumadin), the nurse should educate the patient about which of the
following?
A. The need to learn to sleep in a semi-Fowler's position for the first 6 to 8 weeks
to prevent emboli
B. The need for regularly scheduled testing of the patient's International
Normalized Ratio (INR)
C. The need to take enteric-coated ASA on a daily basis
D. The need to avoid foods that contain vitamin K - ANSWER B. The need for
regularly scheduled testing of the patient's International Normalized Ratio (INR)
Patients who take warfarin (Coumadin) after valve replacement have
individualized target INRs; usually between 2 and 3.5 for mitral valve replacement
and 1.8 and 2.2 for aortic valve replacement. Natural sources of vitamin K do not
normally need to be avoided and ASA is not indicated. Sleeping upright is
unnecessary.
